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NPI Code Detail

MEDICARE: MR. JEFFREY SCOTT SNYDER O.D.

MEDICARE: MR. JEFFREY SCOTT SNYDER O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist4714TGTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760476287
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JEFFREY SCOTT SNYDER O.D.
Provider Business Mailing Address
First Line : 3758 DURNESS WAY
Second Line :
City : HOUSTON
State : TX
Zip : 77025-2402
Country : US
Telephone Number : 713-818-5109
Fax Number :
Provider Business Practice Location Address
First Line : 2413 E LOOP 820 N
Second Line :
City : FT WORTH
State : TX
Zip : 76118-6933
Country : US
Telephone Number : 888-964-6681
Fax Number : 888-662-0859
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2005
Last Update Date : 05/24/2021

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